I-Gonorrhea kubasetyhini, iimpawu ezivela emva kwexesha, ziqhelekileyo. Indlela ebalulekileyo yokudluliselwa kwayo isondo. Makhe siqwalasele ngokubanzi ngesifo, izizathu zalo, iimpawu kunye neendlela zokonyango, siya kufumanisa: njani i-gonorrhea ibonakaliswe kubasetyhini, iindlela zokuxilongwa kwayo.
I-Pathogen ye-gonorrhea
I-agent causative yale ntsholongwane yezocansi i-gonococcus - i-microorganism eyibhaktiriya ebiniweyo. Ngaphandle, i-pathogen ifana neefowuni zekhofi, ezidibeneyo kunye namacala enkcazo. Igama lesiLatini nguNeisseria gonorrhoeae. Le nkonzo ekhuselayo yachazwa okokuqala ngo-1879, nguNoser. Ngokuthe ngqo ngegama lakhe kwaye wabiza i-microorganism.
I-pathogen ingaba khona emzimbeni ixesha elide ngaphandle kokudala umfanekiso weklinikhi. Oku kubangelwa ukuxilongwa kwesi sifo - malunga nokuphakama kwayo. Ukutshintshwa kwenzeka ngexesha lokwabelana ngesondo. Ubungakanani bentsholongwane yokukhubazeka kwizesondo ezingakhuselekanga nomlingane osulelekileyo ufikelela kuma-90%. Ukusetyenziswa kweendlela zokukhulelwa komzimba akuthinteli ukhuseleko.
Iimpawu zegonorrha kubasetyhini
Iimpawu ze-gonorrhea kubasetyhini ziya kubonakala emva kwexesha elide emva kokusuleleka. Oku kubangelwe kwiimpawu ezizodwa zokuphuhliswa kwe-pathogen, urhulumente wesistim somzimba womfazi. Umfanekiso weklinikhi wesifo uzimisele kuphela yindawo yokusuleleka kwintsholongwane. I-gonorrhea enobudenge ixhaphake kakhulu kubasetyhini abaneempawu ezifihlakeleyo okanye ezigubungele ukuvuvukala kwe-urethra kunye nenkqubo yokuzala.
Bangaphi abafazi abachaphazelekayo yi-gonorrhea?
Ixesha lokutshatyalaliswa kwe-gonorrhea kwabasetyhini lugqitywa ngummandla we-immunity locally. Ngoko, ubude balo ukususela kwixesha lokusuleleka phambi kokubonakala kwembonakaliso lokuqala lweklinikhi, lushintsha kwiintsuku ezingama-5-50. Kule meko, ngokuphindaphindiweyo ukukhubazeka akukwazi kubonakaliswa, lo mfazi uzive ephilile. I-pathogen ifunyenwe ngoviwo kwi-gynecologist, ukuhanjiswa kwe-smears ukusuka kwisisu kunye ne-urethra. Ubukho be-gonococcus bubonisa imfuno yonyango oluthile. I-Gonorrhea kubasetyhini abaselula, iimpawu zazo eziboniswe kwinqaku, ziqheleke kakhulu, ngenxa yobomi bentsebenzo ngokwesondo.
I-Gonorrhea - iimpawu kubasetyhini, iimpawu zokuqala
Iimpawu zokuqala ze-gonorrhea kubasetyhini zivela emva kweentsuku ezingama-5 emva kokusuleleka (ngezinga eliphakathi). Izigulane zikhalaza ngokutshatyalaliswa ngokukhawuleza, intlungu e-urethra, eyona nto ibaluleke kakhulu ekuqaleni kwesenzo. Kukho ukunyanzeliswa rhoqo ukuya kwindlu yangasese, kunye nokukhutshwa kwexesha ukusuka kwisini. Ukubonakala kwabo kuhamba kunye:
- ukubetha;
- kutsha;
- ukungathandeki kwisini;
- iintlungu ezisezantsi kwesisu.
Ngamanye amaxesha, kwinqanaba elincinci le-gonorrhea, iimpawu ezingabonakaliyo zingabonakala, phakathi kwazo:
- ukwanda kweqondo lomzimba;
- buhlungu emqaleni.
Xa uhlolwe kwisihlalo somzimba esinezigulane ezinegonorrhea, i-gynecologist ibona izilonda ezinobunzima be-uterine mucosa, zijikeleza ngokuvulwa kwangaphandle kwe-urethra. Ukususela kwi-lumen yomlomo wesibeleko, i-purulent discharge ivela. Ukuqinisekisa isi sifo kwaye kusekwe ukuxilongwa kokugqibela, iimvavanyo zebhoratri zezinto eziphilayo ezithathwe kwizitho zangasese zinikezelwa.
I-Gonorrhea kubasetyhini - iimpawu, ukukhutshwa
Ulwabiwo kwi-gonorrhea kubasetyhini bahlambulukile. Umbala wabo unokwahluka, kwaye kuxhomekeke kwinqanaba leenkqubo zentsholongwane. Ngokuqhelekileyo i-yellow-white whitish discharge, thick and opaque. Xa kuhlolwa kwe-gynecological, ubuqhophololo kunye nokubuyiselwa kwe-urethra zirekhodwe, ezibonisa inkqubo yokuvuvukala kwinkqubo yokuzala yomfazi.
Xa i-gonococci ifinyelela phezulu kwi-urrogenital system, igazi eligazini, kunye nokuxutywa kwe-pus excretion. Igazi ngaphakathi kubo libonakala xa i-pathogen ichaphazela i-membrane ye-mucous ye-canal yomlomo wesibeleko. Ngolu tshintsho, abafazi bayaqaphela ukwanda kweentlungu kwisisu esisezantsi. Isibeleko ngexesha elifanayo landa ngobukhulu, liba buhlungu nakwixesha lokubethelwa ngodonga ngaphakathi kwindonga yangasese yomzimba.
I-gonorrhea engapheliyo kwabasetyhini - iimpawu
Ngenxa yokuhamba kwexesha elide, ukungabikho kweklinikhi ecacileyo, i-gonorrhea engapheliyo ivela kubasetyhini. Izifo kule fomu zibonakaliswa yinkambo elukhuni. Iimpawu ziyabonakala kwithuba elithile kwaye ziphinde zivele emva kwexesha elifutshane. Iimpawu eziphawulekayo zezi zifo kubasetyhini zi:
- ukuvakalelwa kwintlungu engaphantsi kweyesisu, eqinisa ngokuya esikhathini;
- i-purulent-mucous, ngezinye izihlandlo ivela kumfazi;
- ukukhathazeka kwiindawo eziqingqiweyo;
- umkhuhlane.
Ifomu engapheliyo yokugula ichaphazela kakubi inkqubo yokuzala. Ukuqinisekiswa kwesi sihlandlo soogqirha xa sifunde ibhinqa malunga nokungafumaneki . I-Gonococcus ikhokelela ekutshintsheni kwi-endometrium ye-uterine, izithako, ngenxa yokuba ukuchumisa kweqanda kuya kuba nzima. Ulungiso olululo lungalungisa imeko. Unyango lwe-gonorrhea engapheliyo kwabasetyhini kubandakanya unyango lwexesha elide.
Uhlalutyo lwe-gonorrhea kwabasetyhini
Ngaphambi kokuba uthathe i-smear ye-gonorrhea kubasetyhini, izigulane zichazwe ngokubonisana nomzimba. Ngokuchanekileyo ngokuhlolwa komzimba, i-biological material isampuli. I-smear kwi-gonorrhea kubasetyhini kubandakanya ucingo lwezinto ezivela kumfazi, i-urethra, isibeletho. Iisampuli zifakwe kwiibhubhu zokuvavanya kwaye zidluliselwa kwibhoratri yophando. Ukuxilongwa kwe-gonorrhea kwenziwa ngokusebenzisa iindlela ezilandelayo:
- Ukuhlakulela - kubandakanya ukuhlwayelwa ukukhutshwa kwamanzi kwisisu ukuya kumajelo anezondlo. I-colony ye-microorganisms i-pathogenic ityalwe, leyo ingahlolwa kwakhona ukuvavanya kumachiza okulwa ne-antibacterial.
- I-Smear microscopy - uviwo lwezinto eziqokelelweyo phantsi kwe-microscope.
- I-Polymerase-chain reaction (PCR) - inceda ukufumana i-DNA ye-pathogen kwisampuli yezinto eziphathekayo. Uchonga esi sifo ngokungabikho kwesigaba esichukumisayo.
- Uvavanyo lwe-ELISA yindlela ekhethekileyo ebandakanya ukufumanisa i-antibodies kunye ne-antigen kwi-sampuli yegazi.
Unyango lwe-gonorrhea kwabasetyhini
Ngaphambi kokunyanga i-gonorrhea kwabasetyhini, oogqirha baqhuba uviwo olubanzi. Ngokuqhelekileyo eso sifo sihamba kunye nezinye iinkqubo zezilwanyana kwiprogram yokuzala. Esi sifo siphathwa kwizigaba ezi-2: ukutshatyalaliswa kwezilwanyana ezincinci ze-pathogenic kunye nokubuyiselwa kwe- microflora evamile. Ukunyangwa kwe-gonorrhea kwabasetyhini basekhaya kubandakanya ukusetyenziswa kwezidakamizwa ezichasayo, ezikhethwe ngabanye. Zingasetyenziselwa, njengeendawo zangasese zangasese, i-cream, i-ointment, kunye neephilisi zomlomo.
Unyango lwe-gonorrhea kubasetyhini - iziyobisi, isikimu
I-Gonorrhea kubasetyhini, iimpawu zazo ezichazwe ngasentla, zifuna ikhosi nganye yonyango. Ukukhetha amacwecwe avela kwi-gonorrhea kubasetyhini, oogqirha baqwalasela isigaba senkqubo yokugula, ubunzima beempawu. Phantse kwi-30% yeziganeko esi sifo sidibene ne-pathology efana ne-chlamydia. Ngenxa yoko, inkqubo yokwenza unyango iquka ukusetyenziswa kwee-antibiotics ezichanekileyo malunga ne-gonococcus:
- Cefixime - 400 mg ngomlomo, kanye;
- Ciprofloxacin - 500 mg, kanye;
- I-Ofloxacin - 400 mg ngomlomo kanye (sebenzisa elinye lala machiza).
Ukulwa ne-chlamydia, ezi ziyobisi zilandelayo:
- I-Azithromycin - 1 g, kanye;
- I-Doxycycline - 100 mg, kabini ngosuku, iintsuku ezi-7 ngokulandelana.
Amakhandlela e-gonorrhea
Ukuqwalasela unyango lwe-gonorrhea kwabasetyhini, iziyobisi azikho ndlela kuphela. Ulwaphulo lunokuqhutywa kunye nokusetyenziswa kweziyobisi ngendlela ye-suppositories. Eli hlobo lonyango lwe-gonorrhea kubasetyhini linomphumo wendawo kwizitho zangasese, ukususa ngokukhawuleza iimpawu ze-disorder. Iziyobisi zimiweyo ngokwalo, ezibonisa ubukhulu besicelo, umlinganiselo kunye nobude bokusetyenziswa. Xa unyango lwe-gonorrhea lisebenzisa rhoqo:
- Hexicon;
- Betadine;
- Metronidazole.
Iziphumo ze-gonorrhea kubasetyhini
Ukungabikho kwonyango, i-gonorrhea kubasetyhini ibangela ukuba utshintsho kwinkqubo yokuzala. Ngoko, usulelo oluvela kumfazi luya kwi-uterus, iibhubhu. Oku kubangela ukuphulwa kobuchule beembalo ze-fallopian. Ngokukhawuleza ekumiseni izizathu zokungabikho, kwaye wafumana i-gonorrhea. Ukuqoqwa kwepus kwi-uterine cavity kunokukhokelela kwi-pathology efana ne-hydrosalpinx. Kuhamba kunye nokwanda kwimbilini, intlungu enzima kwisithathu esezantsi kwesisu, ukuxiliswa komzimba jikelele. Phakathi kweengxaki ezinokwenzeka ze-gonorrhea nazo ziyafumaneka:
- i-pelvioperitonitis - ukuphuka kwamathambo okanye isisu ngokukhutshwa kwezinto ezingenasiphelo kwisisu esiswini
- I-Bartholinitis - ukuvuvukala kweengqungquthela zeBathoholin ngobusuku bendoda.